Individual provider Active NPI

Amy Elizabeth Linam, MS, CCC-SLP

  • Speech-Language Pathologist
  • Casper, WY
National Provider Identifier
1306107602
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-310 Issued in WY
Practice address
330 S Walsh Dr Ste 206
Casper, WY 82609-4503
Phone
(307) 267-5541
NPI assigned
Jun 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-310 WY Primary

Addresses

Primary practice location

330 S Walsh Dr Ste 206
Casper, WY 82609-4503

Mailing address

330 S Walsh Dr Ste 206
Casper, WY 82609-4503
Phone (307) 267-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-310WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wyoming Therapy, LLC PastSince Jan 1, 2008 Accepting new patients
Child Development Center of Natrona Co Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1306107602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S WALSH DR STE 206",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094503",
            "telephone_number": "307-267-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S WALSH DR STE 206",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094503",
            "telephone_number": "307-267-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINAM",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-03",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.